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Published in: BMC Oral Health 1/2021

Open Access 01-12-2021 | Leukoplakia | Research

Oral health status among transgender young adults: a cross-sectional study

Authors: Kaur Manpreet, Mohammed B. Ajmal, Syed Ahmed Raheel, Mohammed C. Saleem, Khan Mubeen, Kamis Gaballah, Asmaa Faden, Omar Kujan

Published in: BMC Oral Health | Issue 1/2021

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Abstract

Background

Transgender and gender nonconforming (TGNC) people are a marginalized set of the population that continues to experience health care inequalities. This study aimed to assess oral health parameters including Candida growth and intensity among TGNC adults.

Methods

This cross-sectional study recruited two subgroups: 40 transgender and 40 control adults. Consented participants were interviewed and clinically examined. Data using the WHO oral health assessment forms were obtained. Samples for Candida growth and intensity analysis were collected from the dorsum surface of the tongue.

Results

27.5% of the transgender group was HIV seropositive. Oral nicotine stomatitis and leukoplakia are reported to be the most prevalent intra-oral lesions showing a prevalence of 27.5% and 20%, respectively. The dental and periodontal health parameters of the transgender group were worse than those of the control group. The intensity of Candida colonies was significantly higher in the test group (p = 0.014).

Conclusion

Poor oral health and significant oral mucosal disorders were reported in transgender adults that have shown a higher rate of behavioral risk factors such as tobacco and alcohol consumption. Further longitudinal studies in different world regions are warranted to understand the barriers to good oral health in transgender adults and how to implement effective prevention and management strategies.
Literature
1.
go back to reference Clements-Nolle K, Marx R, Guzman R, Katz M. HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention. Am J Public Health. 2001;91(6):915–21.CrossRef Clements-Nolle K, Marx R, Guzman R, Katz M. HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention. Am J Public Health. 2001;91(6):915–21.CrossRef
2.
go back to reference Conron KJ, Scott G, Stowell GS, Landers SJ. Transgender health in Massachusetts: results from a household probability sample of adults. Am J Public Health. 2012;102(1):118–22.CrossRef Conron KJ, Scott G, Stowell GS, Landers SJ. Transgender health in Massachusetts: results from a household probability sample of adults. Am J Public Health. 2012;102(1):118–22.CrossRef
3.
go back to reference Smith ES, Junger J, Derntl B, Habel U. The transsexual brain—a review of findings on the neural basis of transsexualism. Neurosci Biobehav Rev. 2015;59:251–66.CrossRef Smith ES, Junger J, Derntl B, Habel U. The transsexual brain—a review of findings on the neural basis of transsexualism. Neurosci Biobehav Rev. 2015;59:251–66.CrossRef
4.
go back to reference Bazargan M, Galva F. Perceived discrimination and depression among low-income Latina male-to-female transgender women. BMC Public Health. 2012;12:663–82.CrossRef Bazargan M, Galva F. Perceived discrimination and depression among low-income Latina male-to-female transgender women. BMC Public Health. 2012;12:663–82.CrossRef
5.
go back to reference Virupaksha HG, Muralidhar D, Ramakrishna J. Suicide and suicidal behavior among transgender persons. Indian J Psychol Med. 2016;38:505–9.CrossRef Virupaksha HG, Muralidhar D, Ramakrishna J. Suicide and suicidal behavior among transgender persons. Indian J Psychol Med. 2016;38:505–9.CrossRef
6.
go back to reference Lehman JR, Diaz K, Ng H, Petty EM, Thatikunta M, Eckstrand K. The equal curriculum: the student and educator guide to LGBTQ Health. Switzerland: Springer Nature; 2020 Lehman JR, Diaz K, Ng H, Petty EM, Thatikunta M, Eckstrand K. The equal curriculum: the student and educator guide to LGBTQ Health. Switzerland: Springer Nature; 2020
7.
go back to reference Grant J M, Mottet L A, Tanis J, Herman J L, Harrison J, Keisling M. National Transgender Discrimination Survey. Report on health and health care (pp. 1–23). Washington, DC: National Center for Transgender Equality and National Gay and Lesbian Task Force. 2010. Grant J M, Mottet L A, Tanis J, Herman J L, Harrison J, Keisling M. National Transgender Discrimination Survey. Report on health and health care (pp. 1–23). Washington, DC: National Center for Transgender Equality and National Gay and Lesbian Task Force. 2010.
8.
go back to reference Macdonald DW, Grossoehme DH, Mazzola A, Pestian T, Schwartz SB. “I just want to be treated like a normal person”: Oral health care experiences of transgender adolescents and young adults. J Am Dent Assoc. 2019;150(9):748–54.CrossRef Macdonald DW, Grossoehme DH, Mazzola A, Pestian T, Schwartz SB. “I just want to be treated like a normal person”: Oral health care experiences of transgender adolescents and young adults. J Am Dent Assoc. 2019;150(9):748–54.CrossRef
9.
go back to reference Muralidharan S, Acharya A, Koshy AV, Koshy JA, Yogesh TL, Khire B. Dentition status and treatment needs and its correlation with oral health-related quality of life among men having sex with men and transgenders in Pune city: a cross-sectional study. J Oral Maxillofac Pathol. 2018;22(3):443.CrossRef Muralidharan S, Acharya A, Koshy AV, Koshy JA, Yogesh TL, Khire B. Dentition status and treatment needs and its correlation with oral health-related quality of life among men having sex with men and transgenders in Pune city: a cross-sectional study. J Oral Maxillofac Pathol. 2018;22(3):443.CrossRef
10.
go back to reference Anwar KP, Malik A, Subhan KH. Profile of candidiasis in HIV infected patients Iran. J Microbiol. 2012;4(4):204–9. Anwar KP, Malik A, Subhan KH. Profile of candidiasis in HIV infected patients Iran. J Microbiol. 2012;4(4):204–9.
11.
go back to reference Ovia M, Revathi D, Ganapathty D. Oral hygiene in transgender of Chennai city. Drug Invention Today. 11(1):235–240. Ovia M, Revathi D, Ganapathty D. Oral hygiene in transgender of Chennai city. Drug Invention Today. 11(1):235–240.
12.
go back to reference World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization; 2013. World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization; 2013.
13.
go back to reference Pauly IB. The current status of the change of sex operation. J Nerv Ment Dis. 1968;147(5):460–71.CrossRef Pauly IB. The current status of the change of sex operation. J Nerv Ment Dis. 1968;147(5):460–71.CrossRef
14.
go back to reference von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, Initiative STROBE. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147(8):573–7.CrossRef von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, Initiative STROBE. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147(8):573–7.CrossRef
15.
go back to reference Idrees M, Hammad M, Faden A, Kujan O. Influence of body mass index on severity of dental caries: cross-sectional study in healthy adults. Ann Saudi Med. 2017;37(6):444–8.CrossRef Idrees M, Hammad M, Faden A, Kujan O. Influence of body mass index on severity of dental caries: cross-sectional study in healthy adults. Ann Saudi Med. 2017;37(6):444–8.CrossRef
16.
go back to reference Gacon I, Loster JE, Wieczorek A. Relationship between oral hygiene and fungal growth in patients: users of an acrylic denture without signs of inflammatory process. Clin Interv Aging. 2019;14:1297–302.CrossRef Gacon I, Loster JE, Wieczorek A. Relationship between oral hygiene and fungal growth in patients: users of an acrylic denture without signs of inflammatory process. Clin Interv Aging. 2019;14:1297–302.CrossRef
17.
go back to reference Landén M, Wålinder J, Lundström B. Incidence and sex ratio of transsexualism in Sweden. Acta Psychiatr Scand. 1996;93(4):261–3.CrossRef Landén M, Wålinder J, Lundström B. Incidence and sex ratio of transsexualism in Sweden. Acta Psychiatr Scand. 1996;93(4):261–3.CrossRef
19.
go back to reference Hongal S, Torwane NA, Goel P, Byarakele C, Mishra P, Jain S. Oral health-related knowledge, attitude and practices among eunuchs (hijras) residing in Bhopal City, Madhya Pradesh, India: a cross-sectional questionnaire survey. J Indian Soc Periodontol. 2014;18(5):624–31.CrossRef Hongal S, Torwane NA, Goel P, Byarakele C, Mishra P, Jain S. Oral health-related knowledge, attitude and practices among eunuchs (hijras) residing in Bhopal City, Madhya Pradesh, India: a cross-sectional questionnaire survey. J Indian Soc Periodontol. 2014;18(5):624–31.CrossRef
20.
go back to reference Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214–22.CrossRef Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214–22.CrossRef
21.
go back to reference Bradford J, Reisner SL, Honnold JA, Xavier J. Experiences of transgender-related discrimination and implications for health: results from the virginiatransgender health initiative study. Am J Public Health. 2012;103(10):1820–9.CrossRef Bradford J, Reisner SL, Honnold JA, Xavier J. Experiences of transgender-related discrimination and implications for health: results from the virginiatransgender health initiative study. Am J Public Health. 2012;103(10):1820–9.CrossRef
22.
go back to reference Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N. HIV/AIDS Prevention Research Synthesis Team. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1–17.CrossRef Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N. HIV/AIDS Prevention Research Synthesis Team. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1–17.CrossRef
23.
go back to reference Torwane NA, Hongal S, Goel P, Chandrashekar B, Saxena V. Assessment of oral mucosal lesions among eunuchs residing in Bhopal city, Madhya Pradesh, India: a cross-sectional study. Indian J Public Health. 2015;59(1):24–9.CrossRef Torwane NA, Hongal S, Goel P, Chandrashekar B, Saxena V. Assessment of oral mucosal lesions among eunuchs residing in Bhopal city, Madhya Pradesh, India: a cross-sectional study. Indian J Public Health. 2015;59(1):24–9.CrossRef
24.
go back to reference Greenwood GL, Paul JP, Pollack LM, Binson D, Catania JA, Chang J, et al. Tobacco use and cessation among a household-based sample of US urban men who have sex with men. Am J Public Health. 2005;95(1):145–51.CrossRef Greenwood GL, Paul JP, Pollack LM, Binson D, Catania JA, Chang J, et al. Tobacco use and cessation among a household-based sample of US urban men who have sex with men. Am J Public Health. 2005;95(1):145–51.CrossRef
25.
go back to reference Tang H, Greenwood GL, Cowling DW, Lloyd JC, Roeseler AG, Bal DG. Cigarette smoking among lesbians, gays, and bisexuals: how serious a problem? Cancer Causes Group B CCC. 2004;15(8):797–803.CrossRef Tang H, Greenwood GL, Cowling DW, Lloyd JC, Roeseler AG, Bal DG. Cigarette smoking among lesbians, gays, and bisexuals: how serious a problem? Cancer Causes Group B CCC. 2004;15(8):797–803.CrossRef
26.
go back to reference Arjun TN, Sudhir H, Eshani S, Rana PT, Shubham J, Abhishek G. Assessment of periodontal status among eunuchs residing in Bhopal City, Madhya Pradesh, India: a cross sectional study. Oral Health Dent Manag. 2014;13(3):628–33. Arjun TN, Sudhir H, Eshani S, Rana PT, Shubham J, Abhishek G. Assessment of periodontal status among eunuchs residing in Bhopal City, Madhya Pradesh, India: a cross sectional study. Oral Health Dent Manag. 2014;13(3):628–33.
27.
go back to reference Soebadi B, Parmadiati AE, Hendarti HT, Radithia D, Ernawati DS. The prevalence of oral manifestation in transgenders with HIV/AIDS in Surabaya, East Java, Indonesia. Ind J Pub Heal Res Dev. 2019;10(1):577–80.CrossRef Soebadi B, Parmadiati AE, Hendarti HT, Radithia D, Ernawati DS. The prevalence of oral manifestation in transgenders with HIV/AIDS in Surabaya, East Java, Indonesia. Ind J Pub Heal Res Dev. 2019;10(1):577–80.CrossRef
28.
go back to reference Lourenço AG, Ribeiro AERA, Nakao C, Motta ACF, Antonio LGL, Machado AA, Komesu MC. Oral Candida spp carriage and periodontal diseases in HIV-infected patients in Ribeirão Preto, Brazil. Rev Inst Med Trop Sao Paulo. 2017;59:e29.CrossRef Lourenço AG, Ribeiro AERA, Nakao C, Motta ACF, Antonio LGL, Machado AA, Komesu MC. Oral Candida spp carriage and periodontal diseases in HIV-infected patients in Ribeirão Preto, Brazil. Rev Inst Med Trop Sao Paulo. 2017;59:e29.CrossRef
29.
go back to reference Nugraha AP, Ernawati DS, Parmadiati AE, Soebadi B, Triyono EA, Prasetyo RA, Utami SB, Sosiawan A. Prevalence of Candida Species in oral candidiasis and correlation with CD4+ count in HIV/AIDS patients at Surabaya, Indonesia. J Int Dent Med Res. 2018;11(1):81–5. Nugraha AP, Ernawati DS, Parmadiati AE, Soebadi B, Triyono EA, Prasetyo RA, Utami SB, Sosiawan A. Prevalence of Candida Species in oral candidiasis and correlation with CD4+ count in HIV/AIDS patients at Surabaya, Indonesia. J Int Dent Med Res. 2018;11(1):81–5.
30.
go back to reference Goulart LS, Souza WWR, Vieira CA, Lima JS, Olinda RA, Araújo C. Oral colonization by Candida species in HIV-positive patients: association and antifungal susceptibility study. Einstein (Sao Paulo). 2018;16(3):4224. Goulart LS, Souza WWR, Vieira CA, Lima JS, Olinda RA, Araújo C. Oral colonization by Candida species in HIV-positive patients: association and antifungal susceptibility study. Einstein (Sao Paulo). 2018;16(3):4224.
31.
go back to reference Syrjänen S, Valle S-L, Antonen J, Suni J, Saxinger C, Krohn K, et al. Oral candidal infection as a sign of HIV infection in homosexual men. Oral Surg Oral Med Oral Pathol. 1988;65(1):36–40.CrossRef Syrjänen S, Valle S-L, Antonen J, Suni J, Saxinger C, Krohn K, et al. Oral candidal infection as a sign of HIV infection in homosexual men. Oral Surg Oral Med Oral Pathol. 1988;65(1):36–40.CrossRef
32.
go back to reference Lozada-Nur F, Silverman S Jr, Migliorati C, Conant M, Abrams D, Volverding PA, Greenspan D. The diagnosis of AlDS and AIDS related complex in the dental office: findings in 171 homosexual males. CDA J. 1984;12(6):21–5.PubMed Lozada-Nur F, Silverman S Jr, Migliorati C, Conant M, Abrams D, Volverding PA, Greenspan D. The diagnosis of AlDS and AIDS related complex in the dental office: findings in 171 homosexual males. CDA J. 1984;12(6):21–5.PubMed
33.
go back to reference Alanazi H, Semlali A, Perraud L, Chmielewski W, Zakrzewski A, Rouabhia M. Cigarette Smoke-Exposed Candida albicans Increased Chitin Production and Modulated Human Fibroblast Cell Responses. BioMed Res Int. 2014;2014:e963156. Alanazi H, Semlali A, Perraud L, Chmielewski W, Zakrzewski A, Rouabhia M. Cigarette Smoke-Exposed Candida albicans Increased Chitin Production and Modulated Human Fibroblast Cell Responses. BioMed Res Int. 2014;2014:e963156.
34.
go back to reference Theaker ED, Drucker DB, Gibbs ACC. The possible influence of the menstrual cycle on the adherence of Candida albicans to human buccal epithelial cells in vitro. Arch Oral Biol. 1993;38(4):353–5.CrossRef Theaker ED, Drucker DB, Gibbs ACC. The possible influence of the menstrual cycle on the adherence of Candida albicans to human buccal epithelial cells in vitro. Arch Oral Biol. 1993;38(4):353–5.CrossRef
35.
go back to reference Torssander J, Morfeldt-Månson L, Biberfeld G, Karlsson A, Putkonen P-O, Wasserman J. Oral Candida albicans in HIV Infection. Scand J Infect Dis. 1987;19(3):291–5.CrossRef Torssander J, Morfeldt-Månson L, Biberfeld G, Karlsson A, Putkonen P-O, Wasserman J. Oral Candida albicans in HIV Infection. Scand J Infect Dis. 1987;19(3):291–5.CrossRef
Metadata
Title
Oral health status among transgender young adults: a cross-sectional study
Authors
Kaur Manpreet
Mohammed B. Ajmal
Syed Ahmed Raheel
Mohammed C. Saleem
Khan Mubeen
Kamis Gaballah
Asmaa Faden
Omar Kujan
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-021-01945-x

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